Civic Engagement Center
Markim Hall, Third Floor
651-696-6030 (fax)

Academic-Year Hours
Monday-Thursday, 8 a.m.-7 p.m.
Friday, 8 a.m.-4:30 p.m.

Summer Hours
Monday-Thursday, 9 a.m.-4:30 p.m.
Friday, 9 a.m.-noon

To the applicant:
Please forward the link to this form/web page to an individual who is familiar with the qualities and activities that qualify you for the Bonner Scholars Program.  A member of your family or a friend should not complete this form.  

To the reference:
The Bonner Community Scholars Program is a four-year civic engagement program providing leadership programming, academic support, civic engagement opportunities and a social network. 

Being a Bonner Community Scholar involves a commitment not only to service, but also to learning how to be an effective change agent for one’s campus, community, and beyond.  Ideal Bonner candidates are passionate about civic engagement and eliminating systematic inequalities, demonstrate community involvement, embrace working in a team setting, have leadership potential, and a commitment to the Bonner mission of “Access to Education & Opportunity to Serve.”  

It is important that we learn as much as possible about this applicant’s community involvement, family responsibilities, and/or work experiences.  Please submit this form no later than midnight CST Thursday, June 27, 2013. Bonner Community Scholar applications are not complete or reviewed without a reference.  Thank you for your candid comments.

For information and program details, click here or contact Sedric McClure, Multicultural Counselor & Summer Program Coordinator - - 651-696-6014.

Student Applicant     

Name of Person Completing Reference       
Phone Number       


City, State, Zip    


E-mail Address       


Please answer the following questions:

1. How long have you known the applicant? In what capacity?

2. Describe the applicant’s experience with community involvement, family responsibilities, service and/or work. Also comment on applicant's ability and willingness to build community among peers.

3. Bonner first years tutor students in local primary schools. Timely communication is critical in maintaining harmonious relationships with our educational partners. Comment on the applicant's level of dependability, initiative, ability to work with minimal supervision and leadership potential.

4. Bonners serve and communicate with people of various ages, cultural, economic, educational, racial, and religious backgrounds. Please comment on the applicant's relationships with others and ability to work as part of a team.

5. Comment on the applicant's flexibility and their ability to adapt and work under difficult and changing conditions.


Please rank the applicant's following qualities on a scale of 0-4
Unable to Judge=0        Below Average-1        Average=2      Above Average=3        Excellent=4

Ability to accept direction in work              Ability to work independently
Ability to work with others                         Follow through with responsibilities
Behavior in difficult situations                   Communication skills
Integrity                                                    Creativity
Leadership                                               Reliability
Responsibility                                           Time management
Flexibility                                                  Respect for others
Initiative                                                   Knows his/her limits
Cares for her/his needs                          Maturity
Tact                                                         Overall, how would you rate the applicant

6. Are there additional comments you would like to make? Please use this space to expand on or explain your ratings. Explain any reservations that you have regarding the applicant's participation in the Bonner Program.

Please chose one statement for your overall recommendation.

I recommend this student without reservation.
I recommend this student with reservation (explained above).
I do not recommend this student.

Applications and recommendations must be received by midnight CST Thursday, June 27, 2013.